Michael A. Gorin, MD, presented “Crossing the Divide from Transrectal to Transperineal Biopsy” for the Grand Rounds in Urology audience in June, 2020.
Presentation Summary:
Michael A. Gorin, MD, a urologist at Urology Associates of Cumberland, Maryland, and Director of Medical Affairs for Perineologic, discusses the benefits of transperineal prostate biopsy over transrectal biopsy. He notes that transrectal prostate biopsy leads to infections in 5-7% of patients, and argues that transperineal biopsy is the best alternative for avoiding infection. Dr. Gorin acknowledges that the use of a grid-stepper unit for performing transperineal biopsy can be uncomfortable for patients, but suggests that new technology and techniques like the PrecisionPoint™ Transperineal Access System solve many of these issues. The presentation is followed by a Q&A in which Dr. Gorin discusses the importance of new coding for transperineal biopsy and the potential of variable length needles.
Disclosures: Dr. Gorin is a consultant for Perineologic.
Q&A – Summary:
E. David Crawford, MD, interviews Michael A. Gorin, MD, on advances in transperineal prostate biopsy. When asked to predict what percentage of prostate biopsies will be performed transperineally in a year, Dr. Gorin opines that wider adoption of the technique will require a new insurance code, since it is currently billed under the same code as transrectal biopsy and doctors are therefore less well-compensated. Drs. Gorin and Crawford then discuss a new 3DBiopsy™ variable-length needle currently in development that Dr. Gorin suggests is critical for both transrectal and transperineal biopsy since it will allow urologists to take longer cores. Dr. Gorin concludes by affirming his commitment to teaching fellow urologists about transperineal biopsy.
How to cite: Gorin, Michael A. “Crossing the Divide from Transrectal to Transperineal Biopsy” June, 2020. Accessed Dec 2024. https://dev.grandroundsinurology.com/managing-prostate-cancer-patients-and-lhrh-injection-times-during-covid-19/
ABOUT THE AUTHOR
Dr. Gorin is a fellowship-trained minimally invasive urologist based in Western Maryland. He is also the Director of Medical Affairs for Perineologic, maker of the PrecisionPoint Transperineal Access System. Dr. Gorin’s clinical practice focuses on adult general urology with a special interest in caring for patients with kidney stones, benign prostatic hyperplasia (BPH), and prostate cancer. Dr. Gorin is considered as a thought leader in the field for his research on molecular imaging of genitourinary cancers. He is also widely known for his work developing novel methods for performing MRI-guided transperineal prostate biopsy and focal cryoablation ablation of the prostate. Dr. Gorin has published over 225 articles in peer-reviewed journals and has contributed to multiple medical textbooks, including chapters in Campbell-Walsh-Wein Urology, The 5-Minute Urology Consult, and Gray’s Anatomy. Dr. Gorin also serves on the editorial boards of several journals including UROLOGY (the Gold Journal), British Journal of Urology International, and World Journal of Urology and has received numerous honors and awards for his scholarly work.
Dr. Gorin attended college at the University of Michigan where he earned a Bachelor of Science in Cellular and Molecular Biology. He then went on to attend medical school at the University of Miami Leonard M. Miller School of Medicine where he graduated as an inductee to the Alpha Omega Alpha Honor Medical Society. Following medical school, Dr. Gorin completed a general surgery internship, urology residency, and a fellowship in endoscopic and minimally invasive urology at Johns Hopkins University School of Medicine.
Dr. Gorin earned a Bachelor of Science in Cellular and Molecular Biology from the University of Michigan in Ann Arbor. He then went on to attend medical school at the University of Miami Leonard M. Miller School of Medicine, where he graduated as an inductee to the Alpha Omega Alpha Honor Medical Society. Following medical school, Dr. Gorin completed a general surgery internship, urology residency, and fellowship in endoscopic and minimally-invasive urology at Johns Hopkins University School of Medicine.
